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Senior Claims Adjuster
2 months ago
We are seeking a highly skilled and experienced Senior Claims Adjuster to join our team at Definity. As a CAT Licensed Claims Representative, you will be responsible for adjusting files to ensure investigation, evaluation, and settlement of moderate to complex first-party Personal and Commercial claims.
Key Responsibilities- Deploy approved loss cost control programs and technology to investigate, negotiate, and settle moderate to complex personal and commercial claims as assigned.
- Develop and record information pertaining to the claim and/or coverage, documenting notes in the appropriate system(s) and driving the claim towards final disposition.
- Respond to written and telephone inquiries and new claim assignments promptly as per company guidelines.
- Review and interpret policy wordings, acts, regulations, legislation, and contracts to assess impact on coverage.
- Review claim evidence, statements, photos, and investigative documentation to assist in identifying subrogation opportunities or identifying potential third-party liability exposure.
- Identify and process all salvage. Retain and direct appropriate vendors & experts within corporate guidelines.
- Provide oversight and quality assurance on outsourced quantification assignments.
- Quantify large loss Complex Commercial Lines structural damage claims as a member of the Quantification Team in support of the Structural Damage Quantification Protocol nationally.
- Subject matter expert on building code and by-law issues as they relate to loss cost quantifications and work closely with national vendors on programs, pricing, and protocols.
- Support regional adjusting function while not deployed on CAT by working catastrophe clean up and backfilling teammates.
- Support national appraisal function while not deployed on CAT by completing reinspections, managing exceptions through the Contractor Connection program, completing large loss appraisals, and tasks on behalf of region partners.
- Write denial letters, Reservations of Rights, and other complex correspondence when required.
- Maintain an effective diary system to ensure proactive claim file management and disposition.
- University degree or a college diploma (specified field) or the CIP designation and a minimum of 2 years as a loss adjuster or appraiser.
- AMF License.
- Demonstrated ability to complete scopes of repair for up to moderately complex losses.
- Understanding of Provincial and National Building Codes along with a solid understanding of residential and commercial construction terminology, techniques, and best practices.
- Experience with estimating software platforms including Xactware.
- Experience with and ability to read and understand blueprints and CADD drawings.
- Proficient in MS Word and Excel.
- Strong verbal and written communication skills and ability to work autonomously.
- Professional, friendly, courteous in all interactions, flexible, and ability to remain calm while under pressure.
- Ability to travel to sites across Canada with little notice.
- Hybrid work schedule for most roles.
- Company share ownership program.
- Pension and savings programs, with company-matched RRSP contributions.
- Paid volunteer days and company matching on charitable donations.
- Educational resources, tuition assistance, and paid time off to study for exams.
- Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counselors, access to programs for working parents.
- Wellness and recognition programs.
- Discounts on products and services.
